O'Donovan Bernadine, Kavanagh Niamh, Malone Ailish, Horgan Frances, Bennett Kathleen
School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Neuro-Oncology, Beaumont Hospital, RCSI Smurfit Building, Dublin, Ireland.
PLoS One. 2025 Jul 17;20(7):e0325266. doi: 10.1371/journal.pone.0325266. eCollection 2025.
Rehabilitation can improve physical and cognitive function and quality of life in people who have been diagnosed with brain tumours. The aim of this scoping review was to examine the international evidence related to the rehabilitation needs and interventions of people diagnosed with a brain tumour. Relevant search terms were used to identify eligible studies and five databases were searched for original work published between January 2003 and December 2023. A total of 48 studies were included in the final review. A wide range of unmet rehabilitation needs across physical, cognitive, emotional or social domains were reported. In addition, a variety of interventions to improve function after a brain tumour diagnosis, have been investigated across healthcare settings. Our results indicated that rehabilitation needs can be prolonged and evolve over time which has implications for survivorship care. Many intervention studies investigating cognitive and physical rehabilitation reported beneficial outcomes. However, the relevant evidence is not implemented in current practice nor has widely contributed to the development of clinical practice guidelines to inform rehabilitation approaches for those with a brain tumour. This scoping review suggests limited evidence on patient-level needs, such as returning to work or community and social networks, and future research in these areas is recommended. Research which focuses on optimising interventions and the role of multidisciplinary teams is also required.
康复可以改善被诊断患有脑肿瘤的患者的身体和认知功能以及生活质量。本范围综述的目的是研究与被诊断患有脑肿瘤的患者的康复需求和干预措施相关的国际证据。使用相关检索词来识别符合条件的研究，并检索了五个数据库，以查找2003年1月至2023年12月期间发表的原创研究。最终综述共纳入48项研究。报告了在身体、认知、情感或社会领域广泛存在的未满足的康复需求。此外，在不同的医疗环境中，已经对多种脑肿瘤诊断后改善功能的干预措施进行了研究。我们的结果表明，康复需求可能会持续很长时间并随时间演变，这对生存护理具有重要意义。许多调查认知和身体康复的干预研究报告了有益的结果。然而，相关证据在当前实践中并未得到应用，也未广泛促进临床实践指南的制定，以指导脑肿瘤患者的康复方法。本范围综述表明，关于患者层面需求（如重返工作岗位或融入社区及社交网络）的证据有限，建议在这些领域开展进一步研究。还需要专注于优化干预措施和多学科团队作用的研究。
